HomeMy WebLinkAboutApplications 2025;'r Town of Mansfield RECFIVED
OFFICE
��' �,=���s'°k Application to Serve on a Boag1, � A'T6i"k" 0
2
0Committee or Study
Name: LOCI LJ0_ lt'Dho Date �� �2 hd!�SFTTS
Address:
� (� ty
Telephone No. (Horne) ��e) (Cell) �./� � - ��� _ -%
C-Mail Address: /0 r I cle 4 n�) I I b 0 t)� 71-p I c C O ry)
Are you a registered voter in Mansfield? Yes F No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Inclushial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Beat-(] of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. WWI `)JCtf611tp FUt()B.
Why do you want to sgve on this
I�a,ie scvt)ecl Can
Please stale three attributesyou can bring to this Boar I, C nunidee, or Commission. �C l I �S
vn 0(,OKtYItZr�ii�oL I JP n_,V)n �Im rY�rynPiri'Pvv(Da.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
G. Are there any changes you would like to make if you are appointed to this Board,
Committee,orConmtission? I
/qo,—I-kVr--e O(C nol.
7. What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes ❑ No M
9. Have you ever served on a Board, Committee, or Commission in the Town of M, sfield?
Yes No FM
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A.
Q
I I. Please list your present employer:
Dales:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Boarcl, Committee or
Commission.
13. Education Background:
Name and Location Graduated
/� (Yes or No)
HighScbool:�', VVio,'F-eC�GYI 11��1eV)0m, VA
College:
Other Secondary:
SA
U-N,p_ -V)-& )'ood
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
Degree(s)
HS
C 0OS
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
ignatu
Revised 3/21/13 per BSO VDte of 3/20/13
a E41x1.! ! '•o Town of Mansfield
reASAV Application to Serve on a Boarj,(tl ifimiJ's anQFF ICE
Committee or Study Grgpp J , !_" 12: 31
`A`"°
Name: Shannon Dempsey Date 10/18/24 4 ! I I t t I'3 ,) FIELD
p
81 Pratt St. Mansfield. MA 02048
Telephone No. (Home) cell
E-Mail Address: shanndempsey®gmail.com
(Cell) 781-929-3674
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Commigittee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Animal Welfare Committee
B, N/A
3. Why do you want to serve on this particular Board, Committee, or Commission?
I have served as an alternate on the AWC since Febmary of this year (2024).
Francesca as the AGO has proposed some exciting improvements in the way that the shelter is managed and I would love to support Francesca,
and the AWC and shelter volunteers in Implementing these changes.
I find the time I spend at the shelter and supporting the AWC to be very rewarding.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
1 am commilled to fostering a clean and positive environment for our shelter residents, guests and volunteers who are looking to contribute
in positive ways. I have strong communication skills and can effectively communicate with groups including the board, shelter guests and volunteers.
I have a genuine passion for the welfare of the animals In our care.
5. Have you attended any meetings of this Board, Colmnittee, or Cotmnission? (Optional)
Yes
6. Are there any changes you would like to make if you are appointed to this Board,
Conunittee. or Commission?
I'd like to support the changes that Francesca has proposed to create more Shemin at the shelter to
foster a safer environment for our residents and volunteers and create a welcoming space for our visitors and or potential adopters
7. What is your availability? Nights? Weekends?
Nights - occasional weekends
8. Do you regularly attend Town Meeting? Yes -0- No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes FV No M_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A Animal Welfare Committee
11. Please list your present employer:
(Optional)
Employer: Position:
Comlech Telecommunications Program Mai
Dates: 2/7f24 - current
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I strive to create collaborative relationships, I have experience managing projects and hope to contribute to the changes Francesca has proposed,
I have been a volunteer and co -shift lead at the shelter for a number of years so am familiar with the operations there
13. Education Background:
High School: Needham Hiyhschoof
Name and Location Graduated Degree(s)
(Yes or No)
Y
College: University of Vermont Y BA
Other Secondary: Northeastern Universtty/Nonhern
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
f I wt>
Signature
Revised 3/21/13 per BSO Vote or 3/20/13
Rt'CFIVED
Town of Mansfield I D"'' C' 1�ISS OFFICE
a Application to Serve on a Board, Com1m1ission; P k 38
c'
§IOD
Committee or Study Group L',,_�`;-I; 1 D
� I (1'$
Name: �JLX' �l7�ll/fJ[ �U r-f l Date/�/���a��
Address • d�
Telephone No. (Home)<rl Z,'R-3 Q 2Rar') (Cell) &eQa: �99�
i
E-Mail Address: 7 Y P c> r 17S --3 0 L/CtD/-/7 C)Z3
Are you a registered voter in Mansfield? Yes V No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Bowe
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
F1
3. Why do you want to serve
ail MLI hel)i
4,- y - Pie estatethree attt ibutes
on this particular Board, Committee, or Commission?
x
���' fi(��/ma's �i�xs � '~'�.�✓bl
ean�ringtg,this Board, Cpmmittee, or Commission.
(?D1-2 / /&7c—
'k4
5. Have you attended any meetings of this Board, Committee, or Commission?
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes 211"No ❑
9. Have you ever served on a Board, Committee, or Commission inthe Town of Mansfield?
Yes JZ No n_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
n served on:
A.Dates: �l C%�S O/ l ,%;V? J 7 ��
B.�CI /i7ovc / n4zaj-/ Dates:�C�/"�l 96<5 c3/-AC--�An-S
/0/2 e-- t'/e �7��` S 'n-1., 1 `5 Zln— c70-;)n
It. Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
14)006' C?&( 74hV //)16riVefiU
13. Education Backeround:
Name and Location Graduated Degree(s)
(Yes or No)
High School:
Coiiege:
Other Secondary:
14. Please list any professional affiliations (Optional):
is. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 321/13 ner 13SO Vole of 3/20/13
L/
Town of Mansfield
g9``axrxa'y Application to Serve on a Board, Commission,
Committee or Study Group
Name: n. David Cramer Date 10/20/25
Address: 55 Steams Ave. Mansfield, MA 02048
Telephone No. (Home)
E-Mail Address: davwcmmer5@aol.com
(Cell) 508416-6333
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screening Committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Conunission
WWII Scholarship Fund Cotntuittee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Town Manager Screening Committee B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
I want to serve on the Town Manager Screening Committee because I care deeply about the future of Mansfield and believe selecting the right Tram
Manager Is essential to the towel's success. My leadership experience in local civic, faith -based, and nonprofit organizations —combined with
professional service at the Local, Slate, and Federal levels— gives me a unique perspective to contribute. I am committed to supporting a fair,
thoughtful selection process that reflects the needs and values of our community.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
1. Experience and perspective - I bring leadership and administrative experience from Local, Stale, and Federal service, along with active
Involvement in community organizations.
2. Collaborative Decision -Making -I work well with diverse groups, value transparency, and approach discussions with respect and balance.
3. Commitment to the Comnurity - I care deeply about Mansfield'. future and am dedicated to supporting a fair, thoughtful, and oommunaycentered selectee process.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes, I have attended Select Board meetings during my time as a resident of Mansfdd. These meetings have given me valuable Insight into the
town'a operations, priorities, and challenges. I believe this famillariy with current Issues and the dedsionanaki g process will help me contribute
effectively to the Screening Committee,
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
At this stage, my primary focus would be to support a fair, transparent, and community -centered selection process rather man propose specific
changes. I believe its important to that listen, learn, and work colloboreuveiy with other commillee members to strengthen the process. If
appropriate, I would advocate for dear communication and strong community engagement throughout the selection.
7. What is your availability? Nights? Weekends?
I am available most nights and weekends with adequate planning. i maintain a very detailed scheduling calendar, as my background Includes
extensive planning experience with FEMA. This allows me to manage commitments effectively and ensure i can fully participate in the
committee's work.
8. Do you regularly attend Town Meeting? Yes Z No 1_,
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes = No _ ✓M
t0. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
Employer. Department of Homeland Security (DHS) /Federal Emergency Management Agency (FEMA)
Positron: Emergency Management program Specialist
currently in the process of Retirement from the agency.
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I bring extensive leadership, planning, and administrative skills developed through years of service in Local, State, and Federal government,
Including my career with FEMA. I also have significant human resources experience, both through my work with FEMA and as a Branch Manager
far Randslad Staffing. My background includes shateglc planning, budgeting, resource management, and HR operations, as well as working
collaboratively with diverse stakeholders. I have a strong understanding of community engagement and transparent decisiommaking processes.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
high School: Heritage Hall High School Oklahoma City, OR YES High School Diploma
College: Oklahoma City University Oklahoma City, OR YES BA- Mass Communications/Photo Joumislim
Other Secondary: Brooks Institute of Photography Santa Barbara, CA YES SA -Industrial Scientific Photogmphy/Col" Technology
14. Please list any professional affiliations (Optional):
Scuihesslem Massachusetts Emergency Management Directors Association. Massachusetts Association of Emergency Management Professionals
international Association of Emergency Managers. Rhode Island InfraGard. American Head Association, Certified BLS Instmelor
Trustee and Treasurer, Fafth Fellowship United Methodist Church. Mansfield Elks Board of Directors
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I have a deep commitment to the Mansfield community and a strong belief in the importance of effective, transparent local government. My
combined expedence in leadership, planning, and human resources —Including Local, Stale, and Federal service with FEMA and as a Branch
Manager for Randstad Staffing —gives me a well-rounded perspective to contribute meaningfully to the committee. I bring strong manbalionat
skills, a collaborative mindsel, and a dedication to selecting a Town Manager who will lead with integrity and vision.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
H. David Cramer
Signature
Revised 3/21113 per 1380 Vole of 3/20/13
a
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
Name: John teem Date oranozs
Telephone No. (Home) 60a3390
F Mail Address:
(Cell) swae0-203a
1. Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: MansReq Hmdngemporation
Historical Com nussion
Industrial Development Commission
LibraryTmstees
Municipal Building Committee
Planning Board
Recreation Commission
W WIT Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. M:amWd Ho srCorporation B.
3. Why do you want to some on this particular Board, Committee, or Commission?
To essislwiN the tlawgwnanldmor� aRwtlabte hous�g in Mansfieq. Aboar0 membar(JeRPWnlelelsowes gpgng fwmora members have eropgh
mambas so gw Wo wmuU sonM.isw
4. Please state three attributes you can bring to this Board, Committee, or Commission.
I have � Maeeachusel6 Prokssbnal Flryjneerig Mosnse, havo 38yaers az en e�neanirg orpmioncowotmg et Suxw aM Webster eMrha
Massachuutts Water Resour sAuNoaN.aM have experlenrewNh aK aeslgn erd consonroardstak mntruction mnbeHR
RECEIVED
OFFICE
� i„ IISFIELD
.CIIUSETTS
t
5. IIave you attended any meetings of this Board, Committee, or Commission? (Optional)
I attended lM last me", on January 1310 maorstaM tla, tumG and upmnin9 Glans for N6 wmmlaW.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
No
7. What is your availability? Nights? Weekends?
I amcane ndy mcmd and have aaa3aWn to suppM the m%Wes of dis hoard
8. Do you regularly attend Town Meeting? Yes El No Z_
9. Have you ever served on a Board, Committee, or Commission in the *town or Mansfield?
Yes=, No_FV _
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
Massachusetts Wo1m Resouem AmhMty-CFkl Ei ioae,-Ramdin July M23
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
E,ginee,hg, apeeihwdon aM ptan rmiaas some Lode tmckgmuml
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Braintree Nigh shwa —Yes
College: ToasanrversAy-MeafeN.Maas.SSME Yes
Other Secondary: NoNwasle n anpersity. Boston, MA MSME-Appaxl Mech mse-Yes
M Please list any professional afflictions (Optional):
Aareawn sw tyof Mechanka Winne.
Is. Please list any other specialized interests and hobbies (Optional):
Voianleerat Fnotl Pan" once a %mk
Membvol the Knights of Colmolm,
Mamba of St May Selman A&em, Comnrettoo
16. Please provide any additional information you feel may be helpful while reviewing your
application.
i am interested in Imloeq Inns omNltee Mail its gal to add aMomal affaNaNe housing in Maiorma.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of nay ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per aSO Vote of3/20/13
Town of Man sf�c �'-E 1l{Eo Ff ICE
Application to Serve on a ardi Co}niWs&it�
Committee or StuyJGrout `IEt
{) C C n
Name _Emily Thompson Beam Date: January 15th, 2025
Address: 59 Marshall Ave, Mansfield, MA 02048
Telephone No.: 715-308-1877
B-Mail Address: thmnpsonea2@gmail.com
1. Are you a registered voter in Mansfield? Yes
Town Boards, Commissions, Committees:
Airport Commission Historical Commission
Animal Welfare Committee Industrial Development Commission Board of
Assessors Library Trustees
Cable Access Board of Directors Municipal Building Committee
Conservation Commission Planning Board
Council on Aging Recreation Commission
Cultural Council WWII Scholarship Fund Committee
Finance Committee Zoning Board of Appeals
Board of Health Keep Mansfield Beautiful Committee Other:
2. Please mark your two choices in order of preference:
A. _Board of Health B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
I would like to serve on the Board of Health because I think it is a great way to give back to the community.
We have been in Mansfield for 3 years and love it. Fin proud to call Mansfield home and want to support
the town and strengthen our community. I would be particularly excited to serve on the Board of Health
because I have a strong scientific background in relevant fields and am passionate about public health, the
overall well being of the community, safety, and emergency preparedness. I feel I can contribute positively
to the broad and important work the Board of Health is doing and I would be honored to be a part of their
mission. I have a 2 year old daughter and want to show her how important it is to give back to the
community while helping to make our town an even better place.
4. Please state three attributes you can bring to this Board, Committee, or Commission:
1) Educated in the field with relevant experience: I have a PhD in Immunology, deep understanding of most
subject areas addressed by the Board of Health. I currently work in the Cancer Immunotherapy field at a
small biotech in Boston and serve as the Biosafety Officer for our company.
2)Strong communicator (with extensive public speaking experience): ability to communicate complex
processes and subject matters to a broad audience in an understandable way.
3) Highly engaged problem solver- I am not afraid of a challenge and enjoy solving complex problems
creatively both as an individual and with a group.
5. Have you attended any meetings of this Board, Committee, or Commission? No
6. Are there any changes you would like to make if you are appointed to this
Board,Committee, or Commission?
I believe given my background and excitement for learning that there would be
areas I could make immediate contributions to, whether it's changes or additions
to ongoing projects.
7. What is your availability? Nights? Weekends? Available most weeknights after 5:30pm, and weekends
8. Do you regularly attend Town Meeting? No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A.
Dates: B.
11. Please list your present employer: (Optional)
Employer: Kelonia Therapeutics, Inc Position: Director of Preclinical Research and Biosafety Officer
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I have a deep understanding of Immunology and public health, including the subject areas of
cancer, vaccines, chronic disease, infectious disease, and disease prevention. Additionally, I can
apply primary research to understand and communicate the CDC, WHO, State and federal public
health regulations and recommendations.
13. Education Background:
-Menomonie, WI highschool with Honors (2005)
-Bachelors of Science, Medical Microbiology and Immunology, University of Wisconsin -Madison (2009)
-Intramural Research Training program, National Instihdes of Health, Vaccine Research Center (2011)
-PhD, Immunology, University of Minnesota- Twin Cities (2017)
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbles (Optional):
Spending time with family and friends, hiking and being outdoors, reading, cooking, and knitting
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I've been looking for more ways to get involved in the community now that my daughter
is a little older and am so excited for this opportunity. I feel it is a great 5t with my
background and I'd be very proud and grateful to have the chance to positively
contribute to our town's growth, safety, and health.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Emily T. Beura
Signature
Revised 3/21/13 per DSO Vote of 3/20/13
ptGINCI '
o Town of Mansfield
RECEIVED
$9 Application to Serve on a Board, ComiinQQERKS OFFICE
�JEG.IS��SS,p4
Committee or Study Group 1015 OC1 22 P 12. 18
/ /J IAN$FIELD
Name: L ✓YG 1 1/f%G/ Date /0 � �' A c c n r I I I
y--q�ITJ SETTS
Address: 9/ Sly+/zg �dP !�%rns'i,e�,-/ 6 76Y
Telephone No. (Home)
(Cell) 77`a-,,) 6 (, - ,S`i E0
E-Mail Address:
1. Are you a registered voter in Mansfield? Yes V No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. /IIVdA lomrt,Ssi ors B. kefere-A6 i Cvm a isiadl
3• Wily do you want to serve on this particular Board, Committee, or Commission?
file 11ot oad W own
R(/C/4 -� Gvlgas rGi s'f" Qiiy,O/,I
J
4. Please state three attributes you can bring to this Board, Committee, or Commission.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
%fC.?
-P Mlle �/
//'7Pe GfC( SItiGP �i E��ng _G�LiOitn
�
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—i
7
COl3'+M
/ �s/ b✓1
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
D
7. What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes F—A No E-
9. Have you ever served on a Board, Committee, or Commission the Town of Mansfield?
Yesle No F-1_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
�y served on:
A. %. ello C9M✓xrCS i 0-1 Dates: ? S'e-A
B. Dates:
It. Please list your present employer:
(Optional)
Employer: Position:
PGtcan %�ci�-uc ../7-4fVl ✓J cP 5Pn J✓ kpt�e cyJ�y'
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
-fr / T% e/ rncP
0r1y (i0L 2 !4�If
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: 5 1s/>% /%y// .%`roo/
College:,Zoe-r 'S
Other Secondary:
14. Please list any professional affiliations (Optional):
i
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
bygnauue
Revised 3/21/13 per 13SO Vote of 3/20/13
Town of Mansffelc�-� , , N i 1.- i� l � r ;= I C E
Application to Serve on a Board, qy lgr pi�s}on,� p: ?
Committee or Study Group
Name: Mf g;_SaatF —De'srob?,
Telephone No. (Home)
R-Mail
UMN:
(Cell) 1 1 T T 7^
Are you a registered voter in Mansfield? Yes � No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
7 Cultural Council
manch' ceCm�m��ce
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference: �1
A. G kh\, 1A.1(ON W lA-VI G 1 B. � LAi�i✓ _e, W1A W14 C.JU�
3. Why do you want to serve on this particular Board, Committee, or Commission?
4. Please state three attributes you can bring to this Board, Committee, or Commission.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
7. What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
11. Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location I'll.
Degree(s)
Yec r Nn)
High School:
College:
Other Secondary: V YVYUL3DwnoY J ::I p
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional)
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
nature
Revised 3/21/13 per nSO Vote of 3/20/13
/ Town of Manslic:i
Auulication to Serve on a Board, Commission
Committee or Study kxroln,
r� 1
Address:c:: ( ! -� i /!�) c5 7 "
.c.cphone No. (Hone)
(Cell) 60 E V- 6 3 /7 v 9 o
B-Mail Address: �,✓ ,m cL l i-- V Is 3 f2 LI e / I ?- c� / l , (L) Cf _7�
2.
A
3.
1
Are you a registered voter in Manefirld`! v,.- / y r,-
Town Boards, Commissions, Committees:
Airport Commission
Historical Commission
Animal Welfare Committee
Industrial Development Commiasiou
Board of Assessors
Libra v Trustees
Cable Access Board of Directors
Municipal Building Committee
enservalion i:onunission
Planning Board
Council on Aging
Recreation Commission
Cultural Council
WWII Scholarship Fund Conunitle�)...,,
Finance Committee
n ws
Zoning Board of Appeals
Board of Health
Keep Mansfield Beautiful Committee -_
Other: E�7e t b' C
Please mark your two choices in order of preference: U7 M
rn
LD
D.
Why do you want to serve on this particular Board, Committee, or Commission"
�,'✓i r`'r`� J�<"=— e'7_. >Cr;li'7%J rr t
ase stale three attributes you can bring to this Board, Committee, or Commission.
f21-)cl Z7 44 7-0 &0 r )
--a
Q
:5^
C-) -V
rrri n
,.'71T1
<_7 0
'TI
71
m
r Vol] attended anv meetines of this Board. Committee. or Commission? (Optional)
t�- / fir` /- ,4,7 n r"� ri- C1 � f )' f'=c �" f 12) L2J
T/ c-? /-
ire there anv chances von would like to make if you are auuointed to this Board,
Committee, or Conunissinu9
( it r G z tt ze
e-� 12'P / c
What is your availability? Nichls? Weekends?
do you reguiariv attend Town Meeting'? Yes No
n Have you ever served on a Board. Committee, or Commission ig. the Town of Mansfield?
/
10. If you answered "yes" above, please list the Boards, Committees, andlor Commissions you
t ��JL/11
Dates: �.
:'.. C��.E,� �7 E c''C.,.Q 1....(� � i"r') �..-C'� ^: � /7/.✓f j, E='y �7 /.l S �r'-_ rJ :'�'T -=�
Please list your present employer:
(Optional)
?...mover: Position:
12: Please list anv skills or suecialized knowlede_e von can brine to this Board. Conanumo n-
Cotmuission.
t , t
_.i:Icauon Backeround:
;me an(J Location Graduated
-I Yes or No)
. -!Ldl School:
1.n11:1g:"
" /)
14. Please list any professional affiliations (Opfiona6,.
1 S. Please list anv other specialized interests and hobbies (Optional):
Deeree(s)
16. Please provide any additional information you feel may be helpful while reviewing vout
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
I^.terest" orovided by the Town Clerk, if appointed, and to the best of my ability asree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote of 3/2011;�
0�,��, Town of Mansfield
aP < �•
a
Application to Serve on a Board, Commission, Committee or
Q"` =•�s'p Study Group
Name: _Cheryl Christie Date: Dee 29,2025
Address: It Van Gernert or, Mansfield, MA 02048
Telephone No. (Hone) _508-339-2383 (Cell) _508-944-6454
E-Mail Address: _caclrristie4@gmail.com
Are you a registered voter in Mansfield? Yes XX No
Town Boards, Commissions, Committees:
Airport Commission
Historical Commission
Animal Welfare Committee
Industrial Development Commission
Board of Assessors
Library Trustees
Cable Access Board of Directors
Municipal Building Committee
Conservation Commission
Planning Board
Council on Aging
Recreation Commission
a
Cultural Council
WWII Scholar ship Fund Committee
c, -I of
r
Finance Committee
Zoning Board of Appeals
Board of Health
Keep Mansfield Beautiful Committee
Other: _Ad Hoc Bicycle & Pedestrian Steering Committee
ti
-.
2. Please mark your two choices in order of
preference: "
i' - —
r=i
A. B.
Why do you want to serve on this particular Board, Committee, or Commission? I think it is
important for town(s) to have a network of designated trails, paths and areas that provide people of
all ages and abilities the opportunity to walk, run, and/ or cycle in a safe, comfortable and connected
environment. I use the bike path a couple times a week for walking and cycling. In addition, I am
in the Mansfield Garden Club and have been maintaining the WWII Garden at the bike path and East
St for over 7 years. I know how much the bike path is used and what a benefit it is to its residents. I
would like to see the town expand the current network of walking and cycling paths/trails as they
help to improve the quality of life and recreational opportunities for all residents.
4. Please state three attributes you can bring to this Board, Committee, oi• Commission.
I) Because the of the time I have spent on and around the bike path, I understand the variety of people
(families, kids, seniors, etc.) that use the path and the need for safety and accessibility for all parties.
2) I have the ability to think critically and practically, understanding the need for short- and long-term
improvements and visions. As well as, understanding the various trade-offs such as risk, cost, space, traffic
etc.
3) I am experienced working in a collaborative environment, and understand the importance of clear
communication. In addition, I am very interested and willing to learn, and open to guidance from town
planners and engineers.
5 Have you attended any meetings of this Board, Committee, or Commission? (Optional)
No.
6. Are there any changes you would like to make if you are appointed to this Board, Committee, or
Commission?
Given it is a new committee my primary goal would be to help deliver a successful grant ready plan.
7. What is your availability? Nights? Weekends?
I am available most evenings and/or weekends
8. Do you regularly attend Town Meeting? Yes No _X
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes No _X_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have served
on:
Gw
Q
11. Please list your present employer:
(Optional)
Employer: Position:
Currently retired
Dates:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I have experience:
• developing and writing successful business plans and grants.
• working with numbers and data, and within budgets
• managing multi -million -dollar projects, that must manage multiple stakeholders and priorities
13. Education Background:
Name and Location
High School: Amherst Central High School, Snyder NY
College: SUNY at Buffalo, Buffalo NY
Other Secondary: SUNY at Buffalo, Buffalo NY
Other Secondary: CFP ® (Certified Financial Planner)
14. Please list any professional affiliations (Optional):
Financial Planning Association
Graduated Degree(s)
(Yes or No)
YES High School Diploma
YES BA
YES MBA
15, Please list any other specialized interests and hobbies (Optional):
I have been a member of the Garden Club of Mansfield since 2017. Holding various positions including Vice President and
currently Chair of the Horticulture Committee, which is responsible for the gardens around town. In addition, I am currently
an Alumnae Finance and Housing Advisor for the Pi Beta Phi Sorority at Cornell University.
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I have lived in the town for over 20 years. I have worked town elections for the past couple of years and I currently work in
the DPW office as part of the Senior Tax Work -off Program. I have a great desire to see the town thrive. I believe that
designated walking, running, cycling trails/paths improve the quality of life in a town.
I will be out of the country through Jan 20th. My access to email will be limited during that time.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of Interest'
provided by the Town Clerk, if appointed, and to the best of my ability agree to abide by
the provisions of the statute.
Si 3ature
Revised 3/21/13 per BSO Vote of3/20/13
Name: MaryChmleleckl
795R Were Street
ftECE{VED
Town of Mans 10 q'E"C,KS OFFICE
Application to Serve on a BogrA, 0mliniAM1101
Committee or Study Grou
�iP(�FIEED
i1'i �S,',t;11!.ISETTS
Date 815/2025
Telephone No. (Home) 508-261-9796
1 -Mail Address: mary.chmielecklgve hron.net
(Cell) 508-9543532
Are you a registered voter in Mansfield? Yes yes No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other. "+as:sou„a:.n«aanw..Aa„an'.oduc�m�
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planting Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. x man w col e.®.a ytcmma, m. B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
1 em a member of this Mansfield Spirit Weekend (formally know as Incmporetlon Weekend) aubmmmmee. I enjoyed this work and wished to contribute more so I staled
allending the 260th Committee meetings at town hag. At these meetings I learned that the 25M Committee was Interested In Increasing
the general pudic"s participation in events so, I created the voting form and qr codes that allowed the public to vela for Moir favorite float In the Parade.
Since that time I have Warned Mai them Is a lot to do for all Ilia different actbitlea planned for the rest of the year. t would like to continue to help In a more oficW capacity.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
I am a creative problem solver who enjoys working with other people.
I am organized, practical and experienced in panning large events.
I am reliable and follow through on my commitments.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes, I have aflaMetl sererel meetings of both the taMer 2601h Mnlversary(Sestermntann aI) CelebmWn Committee and" related, Mansfield Sp" asakarm subtommlttee.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
There are me changes I would Ilke to make to this committee. I would like to help with the planning,
organibraton mM delivery of the many interesting and exciting upcoming events already put Into motion by the hard work of the 250th Committee members.
7. What is your availability? Nights? Weekends?
I am available nights and weekends.
8. Do you regularly attend Town Meeting? Yes [ No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes El No _ ✓Q_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
11. Please list your present employer:
(Optional)
Employer: Position:
I taught at Quallers Middle School for 25 years. I am currently rested. i taught 6th, An and gin Grade science.
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
As a teacher I planned and organized several large events for our school.
These events include multiple 'Pedrears in Prido' events, a Destination Imaginmion Tournament, and saveref Sth Grade Camara Day. events.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Milton High School. Graduated 1978
College: Univemityof Massachusetts,Boston. Graduated1984. Bachelor of science in Biology
Other Secondary: UoiversityofMassachusetts,Lowef.Gmdualedl993. Moslem ofEducafoninCurriculum and Instruction
14. Please list any professional affiliations (Optional):
I am comedy ruffed.
Is. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
6 ' � e" , 6/a/as'
Si ire
Revised 3/21/13 per BSO Vote of 3/20/13
RECEIVED
Town of Mansfield '(oWN CLERKS OFFICE
Application to Serve on a Board, Cowafm-A A 8& 49
Committee or Study Group P IAHSFIELO
I;gSsACHOSEl TS
Name: _Emily Beura
Date_240ct25 Address:_59 Marshall Ave, Mansfield
Telephone No. (Home) (Cell) _715-308-1877
E-Mail Address: _thompsonea2 f�i gmail.com
1. Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission Historical Commission
Animal Welfare Committee Industrial Development Commission Board of
Assessors Library Trustees
Cable Access Board of Directors Municipal Building Committee
Conservation Commission Planning Board
Council on Aging Recreation Commission
Cultural Council WWII Scholarship Fund Committee
Finance Committee Zoning Board of Appeals
Board of Health Keep Mansfield Beautiful Committee Other:
Town Manager Screening Committee x
2. Please mark your two choices in order of preference:
F1
oQ
3. Why do you want to serve on this particular Board, Committee, or Commission? I'd like to serve on the
Screening Committee because as a resident of Mansfield I care deeply that the candidate that is selected to
lead our town is experienced, accountable, and motivated by doing what's best for our diverse community.
4. Please state three attributes you can bring to this Board, Committee, or Commission. As a scientist and a
member of the Board of Health, I have experience making educated, well informed decisions that impact a
large conununiq, of folks; I have several years experience hiring for various roles in my work and training
and an comfortable and experienced in interviewing candidates; As a Mom of young child, BOH member,
and member of WOT, I believe I bring an important perspective to the candidate search in representing
conmmuniq, members values and concerns on the screening committee.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
7. What is your availability? Nights? Weekends?
Free most nights and weekends
8. Do you regularly attend Town Meeting? Yes No x
I do like to review minutes and sometimes watch the recordings
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? Yes
x No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
Board of Health Jan 2025-Present
11. Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Organized and thorough decision maker, comfortable public speaking, good at asking questions, have
experience representing large groups of people
it
13. Education Background:
Menomonie High School
University of Wisconsin -Madison, BS
University of Minnesota- Twin Cities, PhD
15. Please list any other specialized interests and bobbies (optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Emily Beura
Signature
Revised 3/21/13 per BSO Vote of 3/20/13
aecuw�
Town of Mansfield RE([ IVI.D
��ISAU
Application to Serve on a Board, Commission,
Committee or Study Group •L015 DEC �� P, II31
Name:�'rQ�(n`aYl [J�iCQX' / Date 1113D {,�p "W!'! ;[ j (e
AAA-.- �t7 1-YGr(JOKII'. A,/�l'1� i [, t'l�� . hit] r)S / ICIV' /�/
Telephone No. (IIome)
(ceii) 08369 -33 &'O
E-Mail Address: <,ha bake r- io Po /, Lim
Are you a registered voter in Mansfield? Yes _V No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee ✓
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A.IMIL/ JAQ,1�('C_ B.
Why do yo)t want to serve on this particular
or
4. Please state three attributes you can bring to this Board, Committee, or Commission.
/ /6S5 g
5. i-lave you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes No ❑
Have you ever served on a Board, Committee, or Commission jxAhc Town of Mansfield?
Yes No n_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on -
A. Dates:
0
it. Please list your present employer:
(Optional)
Employer:
�i id n d
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Nanrc and Location Graduated Degree(s)
(Yes or No)
High School:
College:
Other Secondary: -- ._ --- -
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpfid while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21/13 per @SO Vote of 3/20/13
III
Town of Mansfield
Application to Serve on a Board, Commission,, WF ICE
Nape: Sreelalha Allam
23 Ephraim Drive, Mansfield, MA 02048
Telephone No. (Home)
E-Mail Address: allamsreelatha@gmail.mm
Committee or Study Group 1015 MAY I b A 11: 01
05/14/2025
=TTS
(Cell) 617 406 9318
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Planning Board B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
To promote the goals, objectives, and vision of the community both near and long learn,
rM v-0naWdMd W trL Mb9n W oral, mtl b,¢eEss e9eAq M'®AmAA%d^i IXM'ddpW>/� thas. Be P✓oVmd9x<N^ ^✓9 Moat t.a WnqYJeY+�vtl Wuiwmnn^/iba.B4Te^l
ADA / accessibility, safety standards,environmenlal regulations, and resiliency.
Be the voice that encourages and supports overall growth enhancing opportunities for people from different walks of lee to call Mansfield their home.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
22+ years of experience as a Civil Engineer, Transportation Planner with extensive experience working for large public sector agencies
in the Commonwealth.
edng relevant engineed,q and gyed management expaden wren mvewln,project and proposals. understand diverse perspectives and mmpex issues sidwe matl,g Inrwmed dealers.
Strong desire, commitment, and passion to contribute and give back to the community,
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
Promote opportunities for TOD's.
Pnmotowamoama,mmou, mw xawn.k«Wq Nano— m� reuw wnww.mamao�baa wcvu+'
7. What is your availability? Nights? Weekends?
Will be available as needed.
8. Do you regularly attend Town Meeting? Yes Z No E-
9. Have you ever served on a Board, Committee, or Commission � in the Town of Mansfield?
Yes _J � L No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Planning Board -Alternate Member Dates' Present
Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
Massachusetts Bay Transportation Authority(MBTA) Sr. Director
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
cw engineering, tuampodaum planoirg, and pmlect management on high my andeanaa pmlects in ma Commomveetm, vmruip m mi.Am In aiam and Waned Ameng reyniamns.
Exposure to environmental and building code regulations.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School- Location- India. Graduate. Yes,
College: MB in civil Engineering, Northeastern University, Boston
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
cJ2Q2L'�.GZ .cY ��YG
Signature
Revised 3/21/13 per BSO Vote of 3/20/13
"eP RECEIVED
Town of Mansfield , TO�dPd CLERKS OFFICE
Application to Serve on a Board, CommissiogII5 OC1 114 A 104
Committee or Study Group
M)r IcLn-
p��5
Name: Man Andrews Date 10114/2025
Address: 255 Fmlt Street, Mansfield
Telephone No. (Home) 508-3394155 (Cell)
E-Mail Address: marywandrews@mmcast.net
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Animal Welfare Committee B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
I have served on the Animal Welfare Commlltee since 2004. During that time 1 have been Involved with the shelter
In many ways, including working with my husband, Lou Andrews,
to raise funds and coordinate construction of the new shelter building. Currently, I screen adoption applicants, keep shelter records, schedule
vet visits, maintain the website, and recruit new volunteers.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Organization
Attention to detail
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
I have attended almost every AWC meeting, and I serve as the committees dark.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
The AWC wnently works well, in conjunction with the Animal control Officer.
7. What is your availability? Nights? Weekends?
Open availability
8. Do you regularly attend Town Meeting? Yes ❑ No _ ✓❑_
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes -�� No M_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Animal Welfare Committee Dates: 2004 to Present
U
it. Please list your present employer:
(Optional)
Employer: Position:
Retired English teacher (Brighton High School)
Retired software instructor, office manager (Andrews Computer Systems)
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
shelter
Pet owner
Ability to maintain the shelter websile
13, Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Cranford H.S. Cranford, N.J. graduated
College: College of Notre Dame of Maryland, Baltimore B.A.
Other Secondary: Boston college, MA M.A.
14. Please list any professional affiliations (optional):
is. Please list any other specialized interests and hobbies (Optional):
Photography - useful in taking photos of shelter pets for promoting their adoption
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
i, 4 0.1, S
Signature
Revised 3/21113 per BSO Vote of 3/20/13
Town of Mansfield
t Icy.
Application to Serve on a Board, Com sioq,
Committee or Study Group °h?�5 �' I n 10: ll',,)
Name: Leonard Epstein
it Eadk Rd., Una 12, Mansfield MA 02048
Telephone No, (Home)
E-Mail Address: lelaw®neisp.neC lepsteiniltmansfieldma.com
oecomber8,202e I'i,,.,
(Cell) 508-944J000
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A Boerdof Library Trustees B
3. Why do you want to serve on this particular Board, Committee, or Commission?
The libraryis an important resource for our restdenls (and others). I hope to continue maWag a conblbution to the expanding benefits offered to the public,
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Expedehm
Intelligence
Collaborative weak style
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: soulmentown Contral School, Beekmanterm NY graduated 19M
College: Bostonunivenity Wo geot Business Admioistm8on graduated1989
Other Secondary: New Brgland &meal at Law, Boston J.D. Magna cum lauds 1980
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
Amateur musician. Quincy Symphony Orchestra: WanNck (al) Symphony; Westwood Swing sand; others.
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21/13 per BSO Vote of 3/20/13
r,
Name: Cynthia Deltano
Address: 166 Stearns Avenue
Telephone No. (Home)
C-Mail Address: cdeltano
RECEIVED
Town of Mansfield TOWN CLERKS OFFICE
Application to Serve on a Board, ComOCm ss,on, A 8 49
Committee or Study Group t /aNSFIELD
HIASSA,CiIOSETTS
Are you a registered voter in Mansfield? Yes x
10/23/2025
(Cell) 506-369 4035
No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screening Committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. N/A B. N/A
3. Why do you want to serve on this particular Board, Committee, or Commission?
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Honesty; Collaborative and Ethical.
}
a
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Randolph High School Yes
College: Nodheastem University Yes 1983 as In Criminal Justice
Other Secondary
14. Please list any professional affiliations (Optional)
NIA
15. Please list any other specialized interests and hobbies (Optional):
NIA
16. Please provide any additional information you feel may be helpful while reviewing your
application.
NIA
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21113 per BSO Vote of 3/20/13
Cynthia A Dellano
Signature
nor Town of Mansfi RECEIVED
a gWal CLERKS OFFICE
� S40b
Application to Serve on a Boarq@jf gRT§is;�1: 41
Committee or Study Groin
1�9ANSFIELD
MMA ACIIUSETTS
Name: John Scott Feely Date 11/23/2025
Address: 489 Fruit St Mansfield MA 02048
Telephone No. (Home) 508 339 2891 (Cell) 7742665638
R-Mail Address: Scooterfeely@aotcom
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
other: Town Manager Search committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices h1 order of preference:
A Town Manager Screening Committee B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
As member of thr Finance committee since 2012, 1 believe that I have developed an understanding of the
challenges we face in Mansfield, and the challenges the new town manager will dealing with. In addition,
I served on the last town manager search committee and the most recent school superintendent search
4. Please state three attributes you can bring to this Board, Committee, or Commission.
1) Strong educational backgroung In finance/economics. 2) Strong analylicat skills. 3) Experience on search/screening
committees.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Corrunittee, or Commission?
7. What is your availability? Nights? Weekends?
I am available for all scheduled meetings.
8. Do you regularly attend Town Meeting? Yes � No Q
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes Fs/71 No _0_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Finance Committee Dates: 8/22/12 to present
B. Capital Improvement Program Committee Dates: 10/16/12 to present
IL Please list your present employer:
(Optional)
Employer: Position:
Retired from State Street Corppration
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Corrunission.
Extensive experience in finance and economics. Experience with challenging financial situations.
Experience acting in an advisory capacity.
A
13. Education Background:
Name and Location Graduated
(Yes or No)
High School: St. Sebastians - Needham MA Yes
College: University of Mass -Amherst MA
Other Secondary: Suffolk Uiversity - Boston MA
14. Please list any professional affiliations (Optional):
Degree(s)
Diploma
Yes BA Economics
Yes MBA
is. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
i believe that I have the experience and qualifications to successfully contribute to the work of the screening committee.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote of3/20/13
Town of Mansfield RECEIVED
TOWN CLERKS OFFICE
Application to Serve on a Board, ��,, o�, ��ss,sioi ,
$' 49
Committee or Study GrbQ5U1Lu
P' AHD FIELD
Name: Sally Fehervari Bate Octou-922,62djt�SETTS
Address: 86 Lawndale Road
Telephone No. (Home) (Cell) 508-241-2948
E-Mail Address: sgfehervarl(Ogmall com
2.
A.
Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Co n aittees:
Airport Commission
Historical Connuission
Animal Welfare Committee
Industrial Development Commission
Board of Assessors
Library Trustees
Cable Access Board of Directors
Municipal Building Committee
Conservation Commission
Planning Board
Council on Aging
Recreation Commission
Cultural Council
WWII scholarship Fund Committee
Finance Committee
Zoning Board of Appeals
Board of Health
Keep Mansfield Beautif l Committee
other: Town Manager Screening
Committee
Please mark your two choices in order of preference:
0
3. Why do you want to serve on this particular Board, Committee, or Commission?
That the Select Board is including the Community in the search process is
4. Please state three attributes you can bring to this Board, Committee, or Commission.
who I as an individual would like, but more about who will fit in and
help us move forward.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
This is a new committee, and it hasn't been appointed by the Select Board }
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
There are no changes at this time, since it hasn't met as yet.
7. What is your availability? Nights? Weekends?
Anvtime.
8. Do you regularly attend Town Meeting? Yes X No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes X No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Cultural Council Dates:2015-2020
B. Open Space and Rec Comm Dates: 2021- present
I I . Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Pittsfield High School Pittsfield MA Y College Prep
college: New England Cons Y BA Music Performance
Other Secondary: Boston College N
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Sign t re
Revised 3/21/13 per t3SO Vole of 3120/13
3
Town of Mansfield
RECEIVED
= Application to Serve on a Board, d"!- iisE46R K S OFFICE
Committee or Study GrouplM NOV I l A 9: 21
Name: 4'{'61.2-ems FQSGI; Date �JovarN��tr�`�StJ��b.�->
av Sh tm"S,1 . - ETIS
Address: t nyn LCnZ MLIFj{lr td 'fy"A 01-64
Telephone No. (Home) t.rA (Cell) -11'-f G L to G C, 23
E-Mail Address: __ IL Q. CA -S G 11 L-� 1 1 G h n o C. uM
1. Are you a registered voter in Mansfield? Yes _L,, No
Town Boards, Commissions, Committees:
Airport Commission
Historical Commission
Animal Welfare Committee
Industrial Development Commission
Board of Assessors
Library Trustees
Cable Access Board of Directors
Municipal Building Committee
Conservation Commission
Planning Board
ouncr on in
Recreation Commission
turat Council
WWII Scholarship Fund Committee
Finance Committee
Zoning Board of Appeals
Board of Health
Keep Mansfield Beautiful Committee
Other.:iP
2. Please mark your two choices in order of preference: 1JO
FA
B. k?"-th* r ar
3. Why do you want to serve on this particular Board, Committee, or Commission?
PPGF
4, Please state three attributes you can bring to this Board, Committee, or Commission.
3 . `j', c. u Nj,`r Li b c-re uL `t>^-c •�.�/�
��ni(�Lft�`f
C 0 A
1,
ci`i'i z.tT, r,
`7 ,rv»wW 9�
•uolsslunuo�
io aaupumoD 'pteog snp of 2uciq uuo not oSpalrnoux pazgmoads io sll!4s Aue lsil oseald 71
Efa'F. s s 7,44 Q J"7'"o I'� S �i'�,yy � v ' p,,/$ 1--O �)
:uolllsod :.ta.Soldmg
(leuoi
aaXoldma luasaid mo i isg oseald ' I l
r n 9 b 1 'saleQ I ?.;." �T F ,'� °`¢'1'ti � •t'
:ao POA]a8
anaq noX suolsslunuoD io/pue'saaupuuioD'spjeog oql lsll aseald'anoge „sa(„ paaamsue no f3I OI
ON sad,
LplagsueyQdo amgl, aql ul uolssnawoD Jo'aaulmaoD'p.eog a uo paeuas JBna no,f aneH '6
OR /-I sax 48upaayq umo•l, puoue SpoInflai no/ oQ •g
121y��'t�nor�
Lspuaxaa[A Lslg91N Lfllllgellena roof sl legM •1
LuolssnucaoDio'aau!un OD
paeog slgl of polulodde oia no,(;l a)leui of a�lll pinom noX saguaga Ann ajagl aiy q
35 jN-
(leuopdo) LuolssiwuioD ao'aaulunuoQ'pjeog stgi3o sEupaam Sue papuaue no i aneH 'S
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: 5 -,, P ,1� W,' 1, C. Z 1-1 r1 14 5 0, 60m o
College: Gu r ,e lhJce{ ,.�r�i o.� 1 fni • C ti.�.r p (�A eli
Other Secondary: C L, L+ (/a 4 s C L W- j, Ec i n
er,5' 1
cl
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
AA a `Iv I' c
16. Please provide any additional information you feel may be helpful while reviewing your
application.
1 will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21/13 per BSO Vote of 3/20113
is p 6 F
G oA
Town of Mansfield
p RECEIVED
�* x• Application to Serve on a Board, CtiAWdskii )6iA ;S OFFICE
Committee or Study Group 2025 NOV I l A 9: 21
Name: R-C-A ra:561i Date NfovzrLv
Address: av Shannon (ten¢ r�J.rf'`iiJ_.;::)S: I
Telephone No. (Home) hFA (Cell) -1 -1 L a 6 L t, 9 (, 3
E-Mail Address: V- 1)f a .5 6 1, CD W cAk "_ G u m
1. Are you a registered voter in Mansfield? Yes _&., No _
Town Boards, Commissions, Committees:
Airport Commission
Historical Commission
Animal Welfare Committee
Industrial Development Commission
Board of Assessors
Library Trustees
Cable Access Board of Directors
Municipal Building Committee
Conservation Commission
Planning Board
c �onn'ar `o're ' "m"'
Recreation Commission
u tural Council
WWII Scholarship Fund Committee
Finance Committee
Zoning Board of Appeals
Board of Health
P, (vi
Keep Mansfield Beautiful Committee
Other: 1, vn v
F ,cl
2. Please mark your two choices in order of preference: IJ�
A. B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
4. Please state three attributes you can bring to this Board, Committee, or Commission.
�mcly �util��fy
Lfl-& work
Fsr e Src /,,,! -}o
0
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
ties rJp(F
ho CoA B oa ret
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
tjU* awo:,re of aril
7. What is your availability? Nights? Weekends?
�ecl and aUG,��<<.
S. Do you regularly attend Town Meeting? Yes ✓ No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes ✓ No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. L 4,1*L-re/1 Z4) U Dates: l a 7
B. rJe6 F Dates: a,o 2. 4- o l s
11. Please list your present employer:
(Optional)
Employer: Position:
(�e,$-rnd. MAC Ass�i�a�9
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
C 6 fr. CA rv1* h �`l no /✓ r/ane
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: S w' +t c bid W, ;k Sc- k .-I o `6 "X i-I 5 0, P 4-p,v
College: GcaNr Lln7v DC q .r p (A (�us;Aet/
Other Secondary: G L LA R A U, I, A. in
P,-b e SSi O FGi
d
14. Please list any professional affiliations (Optional):
NTvnc
15. Please list any other specialized interests and hobbies (Optional):
e! o Maa -fa I'-c
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21/13 per BSO Vote of 3/20113
a,
\W
Naive: Cynthia Deltano
Address: 166 Stearns Avenue
Telephone No. (Home).
RECEIVED
Town of Mansfield I OWN CLERKS OFFICE
Application to Serve on a Board, Commission, A 8: 49
Committee or Study Group E iA'ISFIELD
I IAS: MUSE`(TS
E-Mail Address: cdelmrm@vmh,oe-nel
1012312025
(Cell) 508-369-4035
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screening Committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. NIA B. N/A
3. Why do you want to serve on this particular Board, Committee, or Commission?
4. Please state three attributes you call bring to this Board, Committee, or Commission.
Honesty: Collaborative and Ethical.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
N/A
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
N/A
7. What is your availability? Nights? Weekends?
I am available nights and some day time hours.
8. Do you regularly attend Town Meeting? Yes _I�I__ No ❑✓
9. Have you ever served off a Board, Committee, or Commission in the Town of Mansfield?
Yes = No _Q✓ _
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. N/A
B. N/A
I I . Please list your present employer:
(Optional)
Employer: Position:
Retired from the EOPS and Department of Correction
Dates:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Experience in inlawlewing and hiring; able to discern and able to communicate
13. Education Background:
Name and Location Graduated
(Yes of No)
High School: Randolph High School Yes
College: Northeastern University
Other Secondary:
14. Please list any professional affiliations (Optional):
N/A
Yes 1983
Degree(s)
eS in Criminal Justice
15. Please list any other specialized interests and hobbies (Optional):
NIA
16. Please provide any additional information you feel may be helpful while reviewing your
application.
NIA
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Zia A Dellano
Signature
Revised 3/21/13 per BSO Vote of 3/20/13
pcaxar i...
g 4
9"�aA3 �035
Nalne: Paula Devine
Address: 1246 East Street
Telephone No. (Horne)
Town of Mansfield
FOWN C R SEOFFICE
1025 OCl 23 P 3: 19
Application to Serve on a Board, Commissit"OP HSFIELD
Committee or Study Group MASSAC,wUSETTS
C-Mail Address: pdevhnel246@yahoo.com
10-23-2025
(Cell) 508-944-1283
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Couucit
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautifid Committee
2. Please nark your two choices in order of preference:
A, Council on Aging B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
I am very active in the COA. Por the past 3 -1/2 yeas I've been on the Board of The Council On Aging, Am also the past Director of the Board
I've also been Involved in a number of fund raising activities for the COA.
I care about the seniors in Mansfield and the programs open to them.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Hardworking, conscientious and trustworthy
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
I would like (o explore new programs in health and enrichment that may be available to help make our seniors mentally and physically fit.
7. What is your availability? Nights? Weekends?
Anytime
8. Do you regularly attend 'Town Meeting? Yes x No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes x No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Friends Of The Drop In Center Dates: 2010-2022
B. Council on Aging Dates: 2021-present
it. Please list your present employer:
(Optional)
Employer: Position:
Town of Mansfield Senior Tax Work Of Volunteer at the Fire Station
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I am a "People person.°
I have run jewelry making classes and card making at the COA. Notlust in Mansfield but in 3 other near -by towns.
In 20191 organized and ran a profitable Holiday Fair at the COA
I've been and am currently involved in helping to make Mansfield a Dementia Friendly and Age Friendly Community
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Sharon High School
College: Chamberlains, Jr College
Other Secondary:
14. Please list any professional affiliations (Optional):
I am the Chaplain and on the Membership Committee at the Mansfield Elks.
I do may lax work -off at the Mansfield Fire Department
I volunteer at the Mansfield Food Pantry
15. Please list any other specialized interests and hobbies (Optional):
Jewelry Making
Sailing
Travel _
Paper Crafts and Ad Work
16. Please provide any additional information you feel may be helpfid while reviewing your
application.
Fit work hard to help increase and Improve programs for Senior Citizens In Mansfield
I love being on the COA board and helping to share ideas to make Mansfield a better place for our Seniors.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Z
Revised 3121113 per BSO Vote of 3/20/13
p�f1NC! I�'
o Town of Mansfield RF CEIVED
x i01`;'i' (I I.R ;S 01-FICE
�OASA 9
Application to Serve on a Board, Commission,
Committee or Study Grb(iPlO`J 114 A10 Itu
�
Name: r� he'Spp OC%1t? Date
Address: !J /VI t 8's0ik e 66j'1 ' vp
Telephone No. (Home) 77q — 71 q O(Q (P c� (Cell) 14 1<� — 37�1- O zp
E-Mail Address: &K(,' h�✓11c5i� 6YYXIt /- CU✓'
Are you a registered voter in Mansfield? Yes —Z No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
• t Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
Why do you want to serve on this particular Board, Committee, or Commission?
4. Please state three attributes you can bring to this Board, Committee, or Commission.
V (6 HJ
s do.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
7. What is your availability? Nights? Weekends?
8.
a
Do you regularly attend Town Meeting?
Yes No Er 60(. E (ne s
Have you ever served on a Board, Committee, or Commissioni the Town of Mansfield?
Yes No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. KUP 06ing6W 8Paohtl Dates:
10
it. Please list your present employer:
(Optional)
Position:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
P10f)-k -i-
f �
I�Uo�'I��
13. Education Background:
Name and Location
HighSchool: , IVla✓o'S, Htig &5Ch00l_1Y
College: `y(fhlidkryo 3���CI y VIC�4✓](P
Other Secondary:
14. Please list any professional affiliations (Optional):
Graduated Degree(s)
(Yes or No)
15. Please list any other specialized interests and hobbies (Optional):
20 ;t
—1&irldk I vrf
16. Please provide any additional information you feel may be helpful while reviewing your
application.
,ftob ffi 7'0 cWIT lllansfte& C(vWl?tj(.r Alkivc l
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
� R
Signature
Revised 3/21/13 per BSO Vote of 3/20/13
RECEIVED
Town of MansfieldTOWN CLERKS OFFICE
Application to Serve on a Board, AWY.diUP I: 22
Committee or Study Group MANSFIELD
MASSACHBUTS
Name: fe 5rrl-t erp +s M Dale z
Address: A,Airy
-S L1LjA)5FIEI
Telephone No. (Ilome)
E.-Mail Address:
Arc you a registered voter in i�lansiicld? Yes ,A No
Town Boards, Commissions, Committees:
Airport Commission
Animal WcWurc Committee
I loard of Assessors
Cable Access Baud ot'Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of I lealih
(h her:
I listorical Commission
Industrial Dcvelopmcnl Commission
Library 'I rusices
lvlapt{diml Building ('onutiuce
Planning Boma
Recreation Commission
WWII Scholarship Pond Conuuitice
Zoning Board ol'Appeals
Keep Manslield Bcauliful Commitice
Please mark your two choices in order ol'prel'crence:
A. _ i.AN.,VIOC, PmAk i) B.
3. Why do you want to serve on this particular Bonrd. Conimiltce, or Commission?
4. Please state Ihrce attributes you can bring to this Board. Committee, or Commission.
5. Have you attended any meetings of this Board. Committee, or Commission? (Optional)
_1_tea= -CitC [a�S�at 1r�<--v--14+SioRq
G. Are there any changes you would like to make if you are appointed to this Board.
Committee, or Commission?
Arabi2SLAa-iA?--fit"f� a M
7. What is your availability? Nights? Weekends?
8. Do you regularly attend "town Meeting? Yes _ml� No
9. [ lave you ever served on it Board, Committee, or Commission in the Town ol'Manslield?
Yes -EL No -F-1
10. 1l'you answered yes" above, please list the Boards, Committees. andhtr Commissions you have
served on:
A. NA/J13lt 'X; &ARA Dates:_�o ata�taw'n7 t5 s4Mlir�t
B. Cl P Dates:iHS'9
IL Please list your present employer:
(Optional)
Employer: Position:
OERRC-VA i f. A -r CC, jLC oi%wg p�
_ JACtt' a s t a _E3 t lAt $ £tJ i —
12: ['lease list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. liduca(ion Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: /"ter 654 "-
College:
Eoc, ,s oAA IC$
Other Secondary:
14. Please list Z1115 vofessional a1771iations (Optional):
ALrVIZ-
IS. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional inlbwmation you feel may be helplid while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
gl It ire
Revised 3/21/13 per INO Vole of 3120/13
0
Naive: James E, Carlson
115 Park Street, Mansfield
Telephone No. (Home)
Town of Mansfield RECEIVED
i'Ol'JN CI_EPIKS
Application to Serve on a Board, Com on, s iOFFICE
Committee or Study Group �CI 'b P 2: Ol
C-Mail Address: Ilmecarlsongyahoo.com
144
NSFIELD
Date 10/6/2025 SSACHUS ETTS
(Cell) 774.571-0130
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screening Committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Town Manager Screening Committee B.
3, Why do you want to serve on this particular Board, Committee, or Commission?
Mansfield Is at an Important moment,
The next Town Manager will shape how we strengthen our finances, support local businesses, keep neighborhoods affordable, and improve everyday services.
ire,emneprv..rmr oi�sua.w++�. uaay.:..nor.�.�r�aw,w...>oau.eue.m..x�.aeo�A�:..mawne, m:v.ww•::rsseruwr.m s:r.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Ability to evaluate budgets and management plans for real -world Impact
Commitment to transparency, fairness, and practical progress
Experience asking tough but respectful questions to get to the head of a candidate's vision and skills
Have you attended any meetings of this Board, Committee, or Commission? (Optional)
This screening committee Is newly formed.
1 regularly follow select Board discussions, budget updates, and town communications, and I'm familiar with best practices for municipal hiring and public input.
I will come prepared and focused on running afalr, efficient process that reflects community priorities.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
I vqutl4ePppn poxss lqusNm MY natlErt meal bnke�16'.Iq]PR�ipvn:M1a VaCt �PcpO 011�ual �eapwSeJry,«poem WnPy VpkcY pnlE6, cAdevarnmViyn.
The screening should prioritize proven Impact over promises, and recommend candidates who want to build trust and momentum In Mansfield.
7. What is your availability? Nights? Weekends?
Available evenings and weekends, Including the weeks of November 3, November 17, December 1, December 8. and December 15.
1 can adjust as needed to meet the committee's schedule.
8. Do you regularly attend Town Meeting? Yes 21 No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes = No F-
to. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
if. Please list your present employer:
(Optional)
Employer:
Carlson Planning Company
Position:
Owner (Financial Planner, Investment Advisor Representative)
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Experience translating complex plans Into clear tradeoffs for residents
Understanding of town finance and governance, with an emphasis on finding solutions that work for Mansfield
Ability to focus on action and results, not just Ideas
13. Education Background:
Name and Location Graduated
(Yes or No)
High School: FoxboroUgh High School
College: Lynnurdversity,
Other Secondary:
14. Please list any professional affiliations (Optional):
2005
2009
15. Please list any other specialized interests and hobbies (Optional):
Degree(s)
Business Administration
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I want to see Mansfield grow In a way that supports families, keeps businesses healthy, end ensures our town government works for everyone.
I will bring optimism, realism, and a commitment to making our process efficient and meaningful.
My approach Is straightforward: ask the practical questions, listen to real concerns, and help select a leader who will deliver on our canal infamies.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21 /13 per BSO Vote of 3/20/13
October6,2025
Town Clerk
Town of Mansfield
6 Park Row, Town Hall, Second Floor
Mansfield, MA 02048
Re: Town Manager Screening Committee
Dear Select Board and Town Clerk,
Thank you for considering my application. I'd like to serve on the Town Manager Screening Committee to help
run a simple, fair process that focuses on what matters to residents.
What I will look for in candidates:
A clear plan to grow our commercial tax base and ease pressure on homeowners under Proposition 2.5
Better customer service and steady improvements in town services
Transparent budgeting, realistic timelines, and measurable results
Clear communication and respect for the public
What will bring:
Plain -language review of plans and budgets
A calm, collaborative approach
Willingness to ask practical questions and keep us on schedule
I am available evenings and weekends, including the weeks of November 3, November 17, December 1,
December 8, and December 15.
I appreciate your time and service to the town. If chosen, I will work hard and stay focused.
Sincerely,
James E. Carlson
115 Park Street
i imecarlsonovahoo.com
(774)571-0130
p,No, RECEIVED
Town of Mansfield MWN CLERKS OFFICE
Application to Serve on a Board, CommissliWA,OCI 22 P Il 08
Committee or Study Group MAtaSFIELD
tliMSSAC..IIUSETTS
Name: Michael Bergguist Date10/20/2025
Address:103 Highland Ave Mansfield MA 02048
Telephone No. (Home)
E-Mail Address: Mikebergguist(a)gmail.com
(Celt) (508) 317-1351
Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screeninq
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Town Manager Screening B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
I believe I have skills and experience that would serve_my Town well.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Strateqic thinking, excellent problem solvinq abilities, and a team oriented approat
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
N/A
7. What is your availability? Nights? Weekends?
Niqhts and weekends. Specifically the eveninq of November 3rd and 17th and De
8. Do you regularly attend Town Meeting? Yes 1:1 Nox
9. Have you ever served on a Board, Cormuittee, or Commission in the Town of Mansfield?
Yes F-� No =
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A.
Dates:
Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
MA Executive Office of Labor and Workforce Development, Deputv General Cour
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Apponequet Reqional Hiqh School Yes
College: Northeastern University Yes B.S
Other Secondary: Suffolk University Law School Yes J.D.
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpfid while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote of 3/20113
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
Name: /t'l C!�'U �l�Gt �� 'c/) �( Y //C.�' Data �Al-
Address:/�
Telephone No. (Home) �� c r �2�V -.7 �U' (�' (Cell)
E-Mail Address:
Are you a registered voter in Mansfield? Yes --Z— No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Cmnmittee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
C� d u at,
A. l L�..(yu.' B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
`" !_L�.-2�..�%'zt-C_..r/Y'� �L✓i/i�,�.J`"C;r%L(iV�G�iyr>✓�t.�a-x U.1r�.e9Ct
4. Please state three attributes you can bring to this Board, Committee, or Commissiou.
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c C/)-
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5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
G. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
7. Wh`at/ is, your
availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? Yes V No
9. Have you ever served on a Board, Committee, or Commission n the Town of Mansfield?
Yes 77 No
M L'O C'
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on: ,1a
A.-P/L�-G7�y(/vt, (�� �t i Dates:
B. Dates:
11. Please list your present employer:
(Optional)
Entopyer:. _ �>> Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Gr � ated Degree(s)
2c �r Nnl
High School:
College: - tP `aCth " hria
Other Secondary:
14. Please list any professional affiliations (Optional):
i s. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpfid while reviewing your
application.
1 will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
C
Si lure
Revised 3/21/13 per BSO Vote of 3/20/13
Town of Mansfield
0'ed d eWI-so(i?r-c
'V /0/16%2ozs
/d, yb PM
Application to Serve on a Board, Commission,
Committee or Study Group
Name: Allen S
187 Copeland Drive Mansfield MA 02048 United States
Telephone No. (Home)
E-Mail Address: ariabryerQverizon.net
10121 /25
(Cell) (508) 685-5537
1. Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Committees:
Airport Conmussion
Animal Welfare Conuuittee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town MOR Search
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. B.
3. Why do you want to serve on this particular Board, Conmrittee, or Commission?
I belive this process demands for varied input and perspectives and I further believe I can offer that.
4. Please state three attributes you can bring to this Board, Committee, or Conmussion.
Falrness,candor and comiltment. I cannot stress enough how Important this process Is to the [own in my opinion
I firmly believe this comitte can"t rubber stamp or otherwise settle for anything but the best effort.
5. Have you attended any meetings of this Board, Contruittee, or Conmtission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Conmrittee, or Conuuission?
7. What is your availability? Nights? Weekends?
I can fulfill the published time condiments of this posting
8. Do you regularly attend Town Meeting? Yes ✓� No
9. Have you ever served on a Board, Committee, or Conur ission in the Torugr of Mansfield?
Yes Fy' No F-1_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
set- ed on:
A, Master Plan Colnm
B. OSPIC
it. Please list your present employer:
(Optional)
Employer: Position:
Dates: 2019
Dates: 2019/2020
12: Please list any skills or specialized knowledge ,you can bring to this Board, Committee or
Conurrission.
I am a student of policy and community development as well as a 30 plus years resident who has previously shown
an Interest and willingness to engage In Issues concerning Mansfield.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Boston Tech/ BPS yes
College: Massasoit Comm Coll no
Other Secondary: Various professional trainings In the fellds of EMS and HR. Various carts & registrations
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
As noted earlier I follow urban/suburban development and government policy in the same manner as soma avid sports laps follow
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote or3/20/13
0 0\C1�C� J
Town of Mansfield f2ECE►VED
x ° • . Application to Serve on a Boarc ,'&'fl i%is�s�"ff !`ICE
Committee or Study GrMgpNOV 25 Ali: 56
Name: Martin Fox Date 11/25125
Address: 80 Rumford Avenue
Telephone No. (Home) (Cell) 508-983A404
E-Mail Address: martinfox1234gmalLcom
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Airport Commission
Historical Commission -
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
Currently member of the Commission
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Airport knowledge, familiarity with the procedures, understanding of general aviation.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
As necessary
7. What is your availability? Nights? Weekends?
All times
8. Do you regularly attend Town Meeting? Yes x No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes x No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Airport Commission Dates: Industrial Development Comm.
B. Dates:
I t . Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School:
College: Boston University School of Law
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I've been a member of the Airport Commission for 9 years
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
rk--,L; �- ,
Signature
Revised 3121/13 per BSO Vote of 3/20/13
i
p\NC/
s Town of Mansfield
0`i I RrS OFFICE
gA'' °' Application to Serve on a Board, m)m> s oi}� f AYA
Committee or Study Group "' 2
hI� I I I�i fi L0
Name: foJeq ( O�e Ave-e 't'S�UjS
FrT
Address: /)'S S &M 03 e+ I'�e04"5�i'a (W f+ 0 ))) l
Telephone No. (Home) (Cell) L-f S
E-Mail Address:
W .H " 9 O , lV M
L Are you a registered voter in Mansfield? Yes No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
CKeep Manaliteld' Re out iful Committee
2. Please mark your two choices in orrd.eAx of preference:
A. (¢ H el�✓�Ii B`
0
want to serve o �j 4h�is particular Board, Committee, or Commission?
sh i�lt�V \Y 7)A Aw nn 1O74 (1.1 1'q/-
4. Please state three attributes you can bring to this Board, Committee, or
A-z�-rwiJ/i
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
1 0
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
OD
7. What is your availability? Nights? Weekends?
/11Nkf� 6- K—,—,nj� + SUMM,Q,(s
8. Do you regularly attend Town Meeting? Yes ❑ No
9. Have you ever served on a Board, Committee, or Commission the Town of M sfield?
Yes M No FVV
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
( served on: Q /V�
A. ) !�U I f o b Art ' y�" Dates:
B. Dates:
11. Please list your present employer:
(Optional)
Position:
tL
12: Please list any skills or -specialized knowledge you can bring to this Board, Committee or -
Commission.
13. Education Background
Name and Location Graduated
(Yes or No)
High School:
College: OUkAIb aC, ofuye f fm (�
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
U /` t�.. K� r l<1ll 1 11
Degree(s)
s
PrOT-'4 11A J AlO r o r)
16. Please provide any additional information you feel may be helpful while reviewing your
application.
1 1 3 �l,/1�,v L�u�t l a,t) MAJ -� ,.X
�('.een `rAn t/ k)111- 4 Y U-hwn �kn-ei In Ae, "DD IS,
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Sin ture
Revised 3121/13 per BSO Vote of 3/20/13
a
Town of Mansfield RECEIVED
Application to Serve on a Board, G�AW1%&kjf0:� S OFFICE
Committee or Study Groupl025 NOV 26 P 3: SU
Name: C-tceko. k--OUV%05 Date
Address: �3 Q,OrCL\ %,Teet, V\Wstuekb JAA
Telephone No. (Home) (Cell)
E-Mail Address:�CA LpV V,O�, �7�(� I� •, /Wi
PA
Are you a registered voter in Mansfield? Yes No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Couuuission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
Please mark your two choices in order of preference:
A. --,�\aa\Ce
0
3. Why do you want to serve on this particular Board, Committee, or Commission?_
4. Please state three attributes you can bring to this Board, Coimnittee, or Commission.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
1 1 W Mm w
nuo,Aob\c ko �� �U�u-,�1,� f�9�.ZpnA—'RP.e.�E.d�' w..uh �o WIQV,.e A'nnCnvn
RwA down
64nuP.CA.C.4 Mort QCtr��:6\e Qnd CCi�ee�:Ue OA ��nr_ Y\eer�a and ow��
�e�s�avnss o�i�a�se\d•
7. What is your availability? Nights? Weekends?
(y*a anb Wee\44a .
8. Do you regularly attend Town Meeting? Yes 1Z No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes 14No ED
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. kM0M(-,e CQjK-OWet, Dates: U� T COr/AV-6A-IiZ
B. L 3--? Dates: Y',&W�A0WV\ COrM"kcc,
11. Please list your present employer:
(Optional)
Employer: Position:
%ecof&A Cuwvt A�ucale 4toyA D;cec4ar
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
u
13. Education Background:
High School:
Name and Location Graduated Degree(s)
(Yes or No)
SC\noo\ CD
College: OAW k�,
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
- `les
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote of 3/20/13
tgnature
Name, Aaron Loulson
Town of Mansfield RECEDED
MIN CLERM OFFICE
Application to Serve on a Board, CNT`Mffn,A R; 25
Committee or Study Group
";Sf IFLD
nerelvlvzoze 11WTrS
287 South Main Street, Mansfield, MA 02048
Telephone No. (Hone)
E-Mail Address: ALL81089QGMAIL.COM
(Cell) 774-218-9325
1. Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Arpod Commission
0
3. Why do you want to serve on this particular Board, Committee, or Commission?
I am a certificated Private Pilot who received (raining at Mansfield Airport and currently fly an aircraft regularly out of Mansfield. As a 10-year resident of
Mansfield, I have been wanting to get Involved in the town and give back. This is an area that I am familiar with, Interested in, and believe I could
be of service. 1 think there are ways that the airport could be more recognized by the town and Its residents as a useful service rather than a curiosity.
The airport also connects Mansfield to the region in ways that other towns cant, 1'd like to bralnslorm with the Commission about how to make use of it.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
I. I am an experienced and redificaled pilot who is also a resident of Mansfield and lives nearby to the airport and these experiences can Interconnect to provide a
nuanced perspective. 21 am a professional non profit fundraiser for a Boston -area University whose skills and experience could benefit community building
and fundraising efforts surrounding the airport, and I have an MBA. 3.1 have a family tradition of service in local government in Taunton, MA, Raynham, MA
and Bristol County, Rl.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
No
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
I would like to learn first about the Board's current work and expectations before suggesting changes.
7. What is your availability? Nights? Weekends?
I am available most nights and weekends.
8. Do you regularly attend Town Meeting? Yes _lam_ No 1-
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes _Q_ No M_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
Brandeis University Director of Devote
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Pundralsing, aviation, community building, marketing, sales.
a
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Bridgewater Raynham Regional High School, Bridgewater, MA YES H.S. Diploma
College: Brandeis University, Waltham, MA YES BA. Economics & History
Other Secondary: Heller School for Social Policy a Management, Brandeis Univ. YES MBA
14. Please list any professional affiliations (Optional):
Worked for Governor Deval Patrick
Worked for Massachusetts Slate Representative Tockey Chan (Quincy)
is. Please list any other specialized interests and hobbies (Optional):
Events Manager for Cape Air Virtual - A flight simulator hobby organization to simulate operations of Cape Air airline
Community Ambassador, Dana Father Cancer Inslilute
16. Please provide any additional information you feel may be helpfi l while reviewing your
application.
I come from a family with deep involvements in Iocai community and politics. My great grandfather ran for mayor of Taunton in the 1950s.
My grandfatherwas Involved in many committees and board In Taunton. My father served on the Water Authority in Bristol, RI. 1'd like to continue
this tradition for my family by getting meaningfully Involved In my own community and give back in a way that could be useful and meaningful.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3121/13 per BSO Vote of 3120/13
Signature
p441NC1 ,�'
a
oe, e
�nas•
Name: Erin Keenan
Address: 31 Sandy Hiff Rd
Telephone No. (Hone)
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
G-MailAddress: im,928Qahohnall.com
112l25
(Cell) 617-686-0741
I. Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Corrunissiom rra
WWII Scholarship Fund Commitlte'e
Zoning Board of Appeals cn _
Keep Mansfield Beautifrd Conmittf r
tl
2. Please mark your two choices in order of preference: C M -._.-1
mr
A. Boardof Health B.
cn run
3. Why do you want to serve on this particular Board, Committee, or Commission?
As someone new to considering town involvement 1 am excited at the possibility of joining the Board of Health. My foagstanding
Interest In the health and wellness of children has led me to consider that my experience could offer a different perspective to the board.
As a clinical dleligan at Boston Children'. Hospital for the last 22 years,including being a clinical audition manager for the last 2 years, I have
gained healthcare knowledge Ural could ba translated to the community setting.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Empathetic
Open Mindedness
Efficiency
IN
5. Have you attended any meetings of this Board, Committee, or Conunission? (Optional)
No
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
Unsure at this time.
?. What is your availability? Nights? Weekends?
g, Do you regularly attend Town Meeting? Yes -0- No
9. Have you ever served on a Board, Committee, or Commission 1 the Town offMMansfield?
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
Dates:
A.
Dates:
Pa
It. Please list your present employer:
(Optional)
Employer: Position:
Boston cirldreds Noaphal Gincal Nutrition Manager
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
As a pediatric dleggan i have worked on inlerpro(essional teams In the h la ua dlnioagal Bheldd which has afforded me the oppOdunily to learn inner
to
other disdplines (case managers, am" workers. physidans and speecihalogisls tname a o lew). I have had the oppo ty
advowle for patients and families while ensuring adequate growth entl development of the chfltlren In my ure.
a + r
13. Education Background:
Name and Location Graduated
(Yes or No)
rnckmn Hiah school Brockton MA raft
High School: B
UnNersilyof Arizona Tucson. AZ Yes
College:
Other Secondary: Boston University Boston. MA Yes
14. Please list any professional affiliations (Optional):
A —a.. of Owed. and Worse member
Degree(s)
Bachelor of Science
Masters of Science in clinical Neldfloa
15. Please list any other specialized interests and hobbies (Optional):
Avid fen for my 2 teens that are active In hockey. softball and cross country.
16. Please provide any additional information you feel may be helpful while reviewing your
application.
Interymfesslonal Leadership in Healthcare Cediftcale from Boston University u/2022)
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3121/13 per BSO Vote of 3/20/13
ignature
Town of Mansfield RECEIVED
i0`,';, CLERKS OFFICE
Application to Serve on a Board, Commission
Committee or Study GrojoS MY -2 A il-, 45
Name: Bryannaworth
Address: 361.amern Lane Mansfield, MA 02048
Telephone No. (Home)
E-Mail Address: brAhawggmaiLwal
Date 51112025 `i".0 .;-.( 1!USETTS
(Cell) 508-496-9948
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Cofmnittee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Cofmnittee
2. Please mark your two choices in order of preference:
A. Planning Board B. Zoning Board of Appeals
3. Why do you want to serve on this particular Board, Committee, or Commission?
As someone who recently went through the process of buying a house in Mansfield (after renting for Mansfield for 6 years), I have become acutely aware of the
housing shortage that faces not just this town, but the entire state of Massachusetts. I view the shrinking population of this great state as a failure of public policy
driven mostly by overly restrictive mnelg and permitting processes that no longer serve the public Interest. I believe mat a mission oriented Planning we zoning
board can lower housing costs while also Increasing the lax base.
4. Please state three attributes you can bring to this Board, Committee, or Commission.
1. Empathy -after my home buying experience, I have a great deal of empathy for those who feel like they we locked out of a key place of the American dream
2. Passion - I closely follow planning and zoning trends from all across the country to see how other municipalities attack high housing costs
3. Analytical mindsel - my career consists of evaluating the cost -benefit trade offs of different options and helping companies choose the most prudent path
forward
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
I have not
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
Instead of taking current ordinances for granted, I would encourage all members to evaluate the status quo through the lens of 'Is this still serving a legitimate
public Interest?" For example, Is there a legitimate public Interest being served by parking spot minimums In residential zones next to the train gallon In a world
where Uber. Dooroash, and Amazon delivery exist? Planning boards around the country are having lust as much success through simply coding red tape versus
actively implemenlingfsponsonng new projects.
7. What is your availability? Nights? Weekends?
I'm available on nights and weekends. I also work from home, an I could make myself available during work days when required.
8. Do you regularly attend Town Meeting? Yes _RI No 1:1-
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes = No _P _
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates
B. Dates
11. Please list your present employer:
(Optional)
Employer: Position:
True Talent Advisory Sr. Director of Analyllcs
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I am very well versed In finance and economics. From my 13 years In the enelybcs profession, I have significant experience in economic valuation of different
options (i.e. cost-benefa badeoiis).
13, Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Somerset High School Somerset, MA Yes
College: University of Pennsylvania Philadelphia, PA Yes B.S. Economics
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
Sports analylfcs, poker —basically anything where you use mathfpmbabilities to optimize decision making
16. Please provide any additional information you feel may be helpful while reviewing your
application.
From the moment I started renting In this town I knew it was the place where I wanted to set my roots. I have since gotten marled, purchased a home, and had
a child who I sincerely hope will go through K-121n Mansfield schools. I am fortunate to have a good fob that pays very well, but this town should not Only be
accessible to those In the highest socioeconomic rungs of society. I believe that the best version of this town, the One that I want my daughter to grow up in, Is
one that Is accessible to individuals from all walks of life. And I believe in the power of a good planninglzoning board to make this a reality.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
A
wow
Revised 3/21/13 per BSO Vote of 3120113
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
Name: Katrin Hawkins
26 ShawmulAve, Mansfield, MA
Telephone No. (Home) 508-472-1890
R-Mail Address: katrin.andbergegmaii.com
10-07-2025
(Cell) 508-472-1890
I. Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Committees:
Airport Cofmnission Historical Commission
Animal Welfare Committee Industrial Development Commission
Board of Assessors Library Trustees
Cable Access Board of Directors Municipal Building Committee
Conservation Commission Planning Board
Council on Aging Recreation Commission
Cultural Council WWII Scholarship Fund Committee
Finance Committee Zoning Board of Appeals
—
Board of Health Keep Mansfield Beautiful Commie
ti
Other:
n
2. Please mark your two choices in order of preference: D
o
n�
M r*1
rnc7
n(n
A. Cultural Council B. f
r
C
1
Mr
o
OOrn
—I
3. Why do you want to serve on this particular Board, Committee, or Conunissio 1g
q:
n
The work the cultural council does Is Important to support access to ads, culture, history for Mansfield residents, and
demonstrates the town's committmenl to a culturally diverse community I want to support this work on the council
4. Please state three attributes you can bring to this Board, Committee, or Commission.
I have a background in nonprofit administration, informal learning/museum education and public history.
I can attend meetings reliably on Monday evenings at the town hall
I feel that Increasing access to the ads and cultural events / activities Is Important to helping us all expand our understanding
and be engaged in our world and community
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes, I attended the October 6th meeting
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
No, I would like to support the work the council is currently doing
7. What is your availability? Nights? Weekends?
Monday evenings; tuesdays; wednesday daytime; some friday afternoon and evenings; some weekends.
8. Do you regularly attend Town Meeting? Yes � No _E
9. Have you ever served on a Board, Cotmnittee, or Commission in the Town of Mansfield?
Yes = No n_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A,
III
it. Please list your present employer:
(Optional)
Employer: Position:
Dates:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I have degrees in cultural anthropology and nonprofit administration. I have work and volunteer experience as
an informal learning educator for children and adults In aquarium and public history settings. I understand the grant
application and making process from a nonprofit perspective. I have lots of experience with volunteer recruitment, training &
retention. Experience with event planning and coordination. And I enjoy crafting and creating.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Foxboro High School, graduated with high school
College: Southern New Hampshire University, bachelors degree in anthropology
Other Secondary: Louisana State University Shreveport, masters of science in nonprofit administration
14. Please list any professional affiliations (Optional):
National Association for interpretation (NAI)
15. Please list any other specialized interests and hobbies (Optional):
Quilting / Sewing; Wood working / carving; creative arts and crafts projects; volunteering; walking; teaching
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I'm legally blind so having print materials In accessible formats (large print and/or available online, etc) is needed.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signatu
Revised 3/21/13 per BSO Vote of 3/20/13
Name:
Telephone No. (Home)
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
(Cell) L)(Z' I ",q— (pijtD
E-Mail Address: CVVrftSV tl¢ , t'U 1, rr C mo-i L C ® lid
Are you a registered voter in Mansfield? Yes No X
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee -'_'
Planning Board
Recreation Commission "r
d
WWII Scho al
up Fund Commince-i
Zoning Board of Appeal"'
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. 00 11 (G&V (a 0,Lp r� B.
4. Please state three attributes you can bring to this Board, Committee, or
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
h0
7. What is your availability? Nights? Weekends?
gyp
IL
8. Do you regularly attend Town Meeting? Yes 1:1 No Pq
9. Have you ever served on a Board, Committee, or Commission in the Town f ansfield?
Yes = No
to. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A.
11. Please list your present employer:
(Optional)
Employer: Position:
Dates:
Dates:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Vm0-w;s
College: t I ll.• Ill0- tl-O V 9-CUi C J
Other Secondary: PrQf— kkt(6tilecsdtl > OA p
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
0.9-, i4 ia_ 1t9-(A4 h tll t
Signature U
Revised 3/21/13 per BSO Vote of 3/20/13
a Town of Mansfield RECE V :QED U„ ,� U, i.
OFFICE
Application to Serve on a Board, Com sign, , 1 1: 25
Committee or Study Group
Name: !�/Gj1f�FG// �i�F/1/E?� Date r:f'i �.)$T�S
Address:
Telephone No. (Home) .il/�-�.�� zo g (Cell)
E-Mail Address: l
L Are you a registered voter in Mansfield? Yes✓ No
Town Boards, Commissions, Committees:
Airport Commission Historical Commission
Animal Welfare Committee Industrial Development Commission
Board of Assessors Library Trustees
Cable Access Board of Directors Municipal: Building Committee
Conservation Commission Planning Board
Council on Aging Recreation Commission
Cultural Council WWII Scholarship Fund Committee
Finance CommitteeZoning Board of Appeals
Board of Health Keep Mansfield Beautiful Committee
Other:
2. Please mark your two choices in order of preference:
Why do you
Please state three attributes you can
Board, Committee, or Commission?
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission? /
x.lo%
a.✓ SE-.✓ v ��i/t ,.�tm�r��As22ovrr-� ,.r/�/zei �ibrctA
T What is your availability? Nights? Weekends?
8. Do you regularly attend Town Meeting? i. Yes 2No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes [3�/ No n_
10. If you answered "yes" above, pleas,
served on:
B. 8 r1l
list the Boards, Committees, and/or Commissions you have
Dates: Al PbIC
Dates:/,aB
n *4I47
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: i 12e'/-2 5--/,,
College: .IZ• A%�
Other Secondary:
14. Please list any professional affiliations (Optional):
Is. Please list any other specialized interests and hobbies (Optional)
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
t
Signature
Revised 3/21113 per BSO Vote of 3/20/13
i
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
7. What is your availability? Nights? Weekends?
g, Do you regularly attend Town Meeting? Yes _[tj:No —El
9. Have you ever served on a Board, Committee, or Commission in the Tow ofield?
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A h/G% G Dates:
B. SA/ Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Hi -4"?
Town of Mansfield
RECEIVED
a Application to Serve on a Board, Comnli§*jp>fiGLERKS OFFICE
Committee or Study Group
2025 NOV 25 P 3` 11
Name: Aaron Gallagher Date /Z3 ZWS_
uSF ITS
Address: 9 Harding Ln, Mansfield MA02048
Telephone No. (Home) (617) 894-0389 (Cell)
E-Mail Address: agaflagher@nitscheng.com
1. Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Catboat Council
Finance Conunittee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Libraq Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Conservation B,
3. Why do you want to serve on this particular Board, Committee, or Commission? --
I'm reapplying to serve another term on the Con Core. Iva enjoyed my time on the board and look forward to
Continuing to serve the community.
4. Please state three attributes you can bring to this Board, Committee, or Contruissiom
Knowledge of permitting through my career
Willingness to serve the community
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
6. Are there any changes you would like to make if you are appointed to this Board,
Cormmuttee, or Commission?
No just looking to continue to work with our commission to serve the residents of Mansfield.
7. What is your availability? fight Weekends?
E#
9.
10.
Do you regularly attend Town Meeting? Yes JW_ No [_
Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes No _Q_
If you answered "yes" above, please list the Boards, Conumttees, and/or Commissions you have
served on:
A. Z.6�BoA0 D
B. Cp COJ t
11. Please list your present employer:
(Optional)
Position:
Dates: lJG $o2E bgi Ti N Gu,V
Dates: CUJJe'l)
CC>0
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: P)I00000e\Jalgr / iFctd
College: UjAplS / VK✓ er Yes QSCi
Other Secondary: SON)- LA o Schoo (Z yeAfc�
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
i
Revised 3/21/13 per BSO vote of 3/20/13
Name: Ryan Maxwell
149 Park Street
Telephone No. (Home)
Town of Mans�e RECEIVED
96WN CLERKS OFFICE
Application to Serve on a Boalyarj il�Tnnisgo%- 20
Committee or Study GroppA IN'SFIELD
MASSUHUSETTS
net, +012905
C-Mail Address: Ryan.M.Mamell@Gmail.com
(Cell) (608)844-8617
Are you a registered voter in Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Planning Board B.
3. Why do you want to serve on this particular Board, Committee, oi• Commission?
I enjoy being involved and helping out in town. Potions of my career overlap with the interests of the Planning Board.
4. Please state. three attributes you can bring to this Board, Committee, or Commission.
I am fair, consistent, and honest.
5. Have you attended any meetings of this Board, Committee, m• Commission? (Optional)
I wrtmuy tay. on Ne FHmM1g Boas
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
ma mam o cuamUyW ca, euou9h sumo mays that vmua ea Dr a4 at tom Meat
7. What is your availability? Nights? Weekends?
Weekday nights.
8. Do you regularly attend Town Meeting? Yes ❑✓ No ❑
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
YesJvi_ No_M
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Conservation Commission Dates: 2013-2017
B. ZBA Dates: 2018-Current
Also serve on the Board of Health from 2021-Current
11. Please list your present employer:
(Optional)
Employer: Position:
Bracken Engineering, Inc. Project Engineer
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
I work In various towns designing projects very similiar to what the Planning Board would review. Specialized skills would be knowledge of
Subdivision Control Law, Mass Storm water Standards, and general knowledge of best engineering practices.
e
13. Education Background
Name and Location Graduated Deglee(s)
( Yes or No)
High School: MansgeldHigh School Yea
College: Wentwodh Institute of Technology Yes BS - Pro-ect Management
Other Secondary
14. Please list tiny professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful while reviewing your
application,
I feel like my professlonet background overlaps very weft with Interests of the Planning eoetd and makes me an exce:9enl candexte lot the Emd.
f will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed. and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3 21 13 per BSO Vote ot'3 20 13
Si nature
`mac e_
21(t �a
►ae WA
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
Name: Danielle Fish
Address: 8 Patriots Way, Mansfield, MA. 02048
Telephone No. (Home) 617.513.2848
G-Mail Address: daniellefish6l
Date 10.20.25
(Cell) 617.513.2848
Are you a registered voter iu Mansfield? Yes x No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: Town Manager Screening Committee
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please Mark your two choices in order of preference
A. Town Manager Screening Committee B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
meCwnmlveerttnenapY+lunMaM1e'O��e Uenegionn NannJ¢, pJsSeeZHtla vY+ls.e.anen[e, neeave,.a�unmon W�a�eSaeucJeasaan�arcaianeana!e&'cdenmakegvop�a,e WeMe[tiveaereTams
4. Please state three attributes you can bring to this Board, Committee, or Commission.
Longtime eesltleaq and adi y on muftin000mmhleos aM WaOs In WnfoW and eeealer WmfoM area -lamftnly whhum ksaes/aci,gour rommunny.
Ability to build concensus; organizational skills.
Strategic planning and committee work experience.
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
This is a new committee for this particular search.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
No.
7. What is your availability? Nights? Weekends?
Available on the dates outlined.
8. Do you regularly attend Town Meeting? Yes �Fv-j No ❑
9. Have you ever served on a Board, Conunittee, or Commission in the Town of Mansfield?
Yes Ft/-] No
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Recreation Commission Dates: Jan 2000 - Dec 2006
B. Housing Authority Dates: May 2006 - May 2016
11. Please list your present employer:
(Optional)
Employer: Position:
Joe Andruzzi Foundation - Chief Development and Public Affairs Officer
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Economic Development - to years on Tri-Town Chamber Board - served as EconDevo VP
School Funding - 2 children attended Mansfield schools; served on various committees during that time - MESAIMHS Boosters
years on hoard; served as
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Ewing High School, Ewing, NJ - Graduate/HS Diploma
College: Trenton State College, Hillwood Lakes, NJ - BA Communication Studies (with honors)
Other Secondary:
14. Please list any professional affiliations (Optional):
Boston Women in Business for Good - founding member
North Easton Savings Bank - board of mcoperaler, Mass Arts Center- Development Committee and Capital Campaign Committee
Th-Town Chamber of Commerce - board member; Hockomock Area YMCA Board Director/BOI
Sturdy Health - board of incorporators
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be helpful white reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Revised 3/21/13 per BSO Vote of 3/20/13
Town of Mansfield
Application to Serve on a Board, Commission,
Committee or Study Group
Name; Samantha Felber
Telephone No. (Home)
E-Mail Address;
Are you a registered voter in Mansfield? Yes x
Date9126125
(Cell) 401-52Y5371
No
Town Boards, Commissions, Committees:
Airport Commission
Historical Commission
Animal Welfare Committee
Industrial Development Commission
Board of Assessors
Library Trustees
Cable Access Board of Directors
Municipal Building Committee
,.,,
C1
Conservation Commission
Planning Board
Council on Aging
Recreation Commission T'
"=
Cultural Council
kn
WWII Scholarship Fund Comeu,mittexb
�m
Finance Committee
Zoning Board of Appeals S> a-
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M C)
Board of Health
Keep Mansfield Beautiful Committer5
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Other:
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2. Please mark your two choices in order of preference: i O
C
A. Induldal Development Commission B,
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3. Why do you want to serve on this particular
Board, Committee, or Commission?
I currently manage 8Industrial buildings In Cabot Business Park, in Mansfield.
4. Please state three attributes you can bring to
this Board, Committee, or Commission.
I have fouryears of commcedoal (indusldal) property managment experience. Prior to that I had over 10 years In residential property managment experience.
I have extensive knowledge of building systems, project managment and Industry trends,
S. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
I have attended the planning board meeting for the proposed Gilbert Street development.
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
Not at this time
7. What is your availability? Nights? Weekends?
Flexiable
8. Do you regularly attend Town Meeting? Yes -EL No Z__
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Yes = No M_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Dates:
B. Dates:
it. Please list your present employer:
(Optional)
Employer: Position:
Jones Lang Lasalle Americas, General Manager
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
See quesgon 4.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Smithfield nigh school, Graduated, Diploma
College: Community College of Rt, Graduated, A"Wides Degree
Other Secondary:
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
All things outdoors, being W h family and friends.
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
Signature
Revised 3/21/13 per 13SO Vote of3120/13
RECEIVED
Town of Mansfield roWN CLERKS OFFICE
Application to Serve on a Board, ConjQAsVjtj►?,U A 8: Ou
Name: nrian Eagle
55 Lancashire or Mansfield MA 02048
Telephone No. (Home)
E-Mail Address: brian.eagle@gmail.com
Committee or Study Group i IAN51 IELD
M!,S r C 11j0)FTTS
Date 10/1/2025
(Cell) 571-215-6836
Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other: x
Historical Commission
Industrial Development Commission
Library Trustees
Municipal Building Committee
Planning Board
Recreation Commission
WWII Scholarship Fund Committee
Zoning Board of Appeals
Keep Mansfield Beautiful Committee
2. Please mark your two choices in order of preference:
A. Town Manager Screening Comml(tee B.
3. Why do you want to serve on this particular Board, Committee, or Commission?
1 believe encasing the next town manager Is critical to helping restore residents' faith In this portion. Having seen the value a strong Town Manager can bring to
stabilizing town fnaces, maximizing the Impact of limited dollars and effectively coordinating with the School Superintended, this Is one of the
most Important town poaitions.l want to see the town select someone who will tit in with our values & priorities and succeed in (his role.
Please state three attributes you can bring to this Board, Committee, o- Commission.
My experience on the audgal Suboam rdtmi. the TIF Review Committee, and current town affairs has given me a deep understanding of the responsibilities of the town manager
I have been both a chair and member of town committees and understand the Impedance of a collaborative process
I support open discussions that help drive better solutions in which everyone feels they have had their say and can support and decision making
5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
This is a new Committee
6. Are there any changes you would like to make if you are appointed to this Board,
Committee, or Commission?
N/A
7. What is your availability? Nights? Weekends?
Most nights, with notice.
8. Do you regularly attend Town Meeting? Yes [71 No
9. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield? t_
Yes _! � No _F-1_
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Finance Committee Dates:
B. TIFF Committee
Dates:
11. Please list your present employer:
(Optional)
Employer: Position:
Enlegris Director, Global Government Relations
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
Town budget and finance process
Budget, financial and other general contract negotiations
Personnel management
Large organization structure and challenges
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
High School: Amity High School, Woodbridge, CT YES
College: Franklin & Marshall College, Lancaster, PA YES BA
Other Secondary: George Washington Law School YES JD
14. Please list any professional affiliations (Optional):
15. Please list any other specialized interests and hobbies (Optional):
Politics, Policy and Government Operations
16. Please provide any additional information you feel may be helpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest' provided by the Town Clerk, if appointed, and to the best of my ability agree to
abide by the provisions of the statute.
3 (-��
Signature
Revised 3121/ 13 per nSO Vote of 3/20/13
fUNL
Town of Mansfield
Applieation -o Serve oneea --Board, Commission,
4C1 ,Z1..ZZgf� ,-e 6 V Sft- Y1 i3lli�u i
Name: Elizabeth Dye Date 3/17/2025
Address: 120 School Street Mansfield, MA
Telephone No. (iiome) (Cell) 774-20e-6014
E-Mail Address: I1sadyeft6ftmall.com
Are you a registered voter in Mansfield? Yes X No
Town Boards, Commissions, Committees:
Airport Commission
Animal Welfare Committee
Board of Assessors
Cable Access Board of Directors
Conservation Commission
Council on Aging
Cultural Council
Finance Committee
Board of Health
Other:
Historical Commission
Industrial Development Commission
I:ibrargTtustees
:fi
Municipal Building Committee
Plamriag Board
Recreation Commission
WWII Scholarship Fund Committee
r
Zoning Board of Appeals
Mr —
Keep Mansfield Beautiful Committee�j
r�r
2. Please mark your two choices in order of preference:
A. Board of Registrars B.
3. Why do You want to serve on this particular Board, Committee, or Commission?
1 helive in malniAninp the nrn... % nj tree and h0k eleniinnn Ihai is nauranteed
io all oitizons by the oonclitulions of the V$ end the Commonivoatlth of Masspahusetla.
-;. kmscZiw Shr"c-'& „>s:..� yav' Ar01'S'j; tx uSam, ;os„,n .
Strong democratic vetoes
Dedication to community service
Honesty and integrity
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5. Have you attended any meetings of this Board, Committee, or Commission? (Optional)
Yes, I have served one tern on the Board previously (I am a current member)
6, Are there any changes you would Wee to make if you are appointed to this Board,
Committee, or Commission?
No
7. What is your availability? Nights? Weekends?
As needed to support the needs of the Board
8. Do you regularly attend Town Meeting? Yes Fv� No
4. Have you ever served on a Board, Committee, or Commission in the Town of Mansfield?
Ycs.( No-
10. If you answered "yes" above, please list the Boards, Committees, and/or Commissions you have
served on:
A. Housing Authority
Dates: 7 Yrs ending approx 2021
B. Board of aegis mrs
Dillgs: past threeyears j2022-2025
11. Please list your present employer:
(Optional)
Employer: Position:
CeveVasc, Inc. Director of Clinical Atfrairs
12: Please list any skills or specialized knowledge you can bring to this Board, Committee or
Commission.
13. Education Background:
Name and Location Graduated Degree(s)
(Yes or No)
lligh &bi-101: Pulima i High'School Pullman; WA Yea DiN ma
College: Washington Slate University Pullman, WA Yes B.S. Biological Sciences
Other Secondary:
14. Plcasc 1•:stany professional afP.liations (Optic dj:
15. Please list any other specialized interests and hobbies (Optional):
16. Please provide any additional information you feel may be belpful while reviewing your
application.
I will read a copy of the Massachusetts General Laws Chapter 268A "Conflict of
Interest" provided by the Town Clerk, if appointed, and to the befit of my ability agree to
airiiic'lry rlrt;-jrriiv ir;iurls tri'nC stafaic.
g4avLz-, ii
Sign re
R,iArd irrl 01ir rRCn